tci ED Coding & Reimbursement Alert - 2012 Issue 10

Facility Coding: Ace Your Critical Care Coding: Pay Attention to Trauma to Avoid Future Drama

Carefully documented time and resources spent is the key to accurate facility coding Identifying and reporting the hospital component of ED critical care presents a challenge for hospitals as the rules differ enough from the professional rules to create a significant challenge. This is especially true when the hospital's trauma team is activated to deal with a critical injury presentation. As of January 1, 2007, critical care services were paid at two levels, depending on whether or not there was also activation of the hospital's trauma team. Hospitals will receive one payment rate for critical care without trauma activation...

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